Aftercare Academy by Petra Erving

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Aftercare Academy by Petra Erving FHT and NCBTMB approved training provider for MLD and Lymphoedema Therapists working with postoperative aesthetic and cosmetic plastic surgery clients

I help Manual Lymph Drainage therapists gain confidence and success working with postop cosmetic plastic surgery patients. I've worked in healthcare since 2003, helping thousands of people throughout my career recover after surgery, successfully manage their lymphoedema and lipoedema and now I provide CPD accredited training for therapists treating postop cosmetic plastic surgery patients. I'm a Scar Tissue Therapist, Certified Lymphoedema Therapists and Holistic Lifestyle Coach. I offer various training options to suit every therapist's pocket and stage of learning. If you would like to discover what option would suit you best, book your confidential complimentary discovery call here: https://calendly.com/petraerving/aftercare-academy
where we will discuss YOUR needs from training.

I arrived in Deerfield Beach after a four-hour train journey from Tampa — another chance to stare out of the window, ref...
08/11/2025

I arrived in Deerfield Beach after a four-hour train journey from Tampa — another chance to stare out of the window, reflect on the trip so far, and mentally prepare for the workshop ahead. Fourteen therapists were travelling from all over the U.S. to join me for five days of training.

As you may know, I’m quite strict about who can attend the Advanced MLD & Postoperative Protocols workshop. Therapists need to have at least 40 hours of recognised MLD training — from schools like Klose Training, Vodder, Norton, or ACOLS.

There’s a reason for this.

Over the past few years, there’s been a boom in fast, “lymphatic massage” courses that don’t teach clinical skin-stretching techniques, use oils, skip deep abdominal drainage, and often don’t work in the direction of anatomical lymph pathways. This isn’t just a difference in style — it’s a difference in safety and outcomes.

The work I teach is rooted in clinical lymph drainage and decongestive therapy.

My own training began with Bruno Chikly’s Lymph Drainage Therapy in 2006. I completed my Lymphoedema Certification with Klose Training in 2008. And between 2011 and 2018, I travelled to the Foeldi Clinic four times for advanced updates and reviews.

I’m a perfectionist when it comes to technique — but I believe that’s essential when we’re treating vulnerable postoperative patients. Every hand stroke matters.

For the workshops in Arkansas and Deerfield Beach, a few therapists hadn’t yet reached the 40-hour prerequisite, so we added a foundation day. This allowed me to assess technique, refine hand strokes, and teach the Manual Lymphatic Therapy routines needed to support postoperative protocols.

That way, when we moved into the advanced surgical protocols, everyone could hit the ground running — confident and prepared.

Deerfield Beach itself was very different from quiet North Redington. It was busier, more touristy, and the Atlantic waves were much rougher than the still Gulf waters. I didn’t swim in the sea this time — instead, the hotel pool became my evening “aqua traction” when my back had had enough after days on my feet.

Once again, the therapists were warm, welcoming, and deeply willing to learn. This was the eighth workshop I’ve taught, and I could feel myself in my groove. The content flowed, each day built on the previous one — though, if you know me, you’ll know my brain is already buzzing with ideas for improving the structure for 2026.

By the final day of every workshop, when I’m watching the practical assessments and reading case studies, I feel like a proud mamma. The transformation is always so clear — not just in technique, but in confidence, body language, clarity of thought, and clinical decision-making.

I am proud of every therapist who “graduates” from the Aftercare Academy and leaves holding their certificate — not just as a piece of paper, but as a reflection of real skill.

Because gradually — and together — we are making postoperative aftercare safer.

I’d love to know:

Do you ever feel unsure or lacking confidence in your practice right now?

If so, what’s one thing that you feel would help you feel more confident?

Reply in the comments — I’d love to hear.

07/11/2025

I’ve always loved public transport.

There’s something peaceful about sitting on a bus or train, watching the world pass by — no need to concentrate, just space to think, read, or let your mind wander.

In the UK, it’s easy to get around that way.

But in the USA? Not so much.

My train journey from Memphis to New Orleans took nine hours. I snoozed, read a little, but mostly I just stared out the window, taking it all in. I’d considered renting a car, but as an already anxious person, driving solo in a new country felt like a step too far.

I hadn’t booked anything in advance, which gave me a sense of freedom — twelve unplanned days between Arkansas and Florida. I knew I wanted to visit New Orleans (and it didn’t disappoint), but after that, I wasn’t sure. I’d hoped to stop somewhere along the Alabama coast or the Florida Panhandle — people had recommended Destin — but it wasn’t easy to reach without a car.

So, with a day to decide, I booked a short flight to Tampa and found a place in North Redington Beach.

It was beautiful — soft sand, clear blue skies, sunshine, and gentle waves. The area had been badly hit by a hurricane last year, and you could still see traces of the damage, but there was something serene about it.

Despite staying right on the beach, I only managed to make it onto the beach three times in six days. I was utterly exhausted.

The months leading up to the U.S. trip had been full-on — planning workshops, organising equipment, dealing with logistics, managing nerves. But beyond that, I’m naturally an introvert.

I have what I call a limited supply of “social tokens.”

Once they’re spent, I need to retreat and recharge.

On the outside, I might seem confident and outgoing. But the truth is, putting myself out there as the face of a business takes a huge amount of energy. Walking into rooms full of people I don’t know, fighting off that quiet voice of imposter syndrome — it drains me.

I’ve always been a bit of a people pleaser, the one who finds it hard to say no. But now, in my mid-50s, I’m finally learning about boundaries. It’s still not easy to unlearn decades of habits — but it’s progress.

So, I spent those few quiet days doing almost nothing.

Just sitting on the balcony, looking out to sea, watching pelicans dive for their catch and fishermen patiently waiting for theirs. It was exactly what I needed.

By the end of the week, I finally felt ready again — rested enough to gather myself, refill my “social tokens,” and prepare for the next stop: Deerfield Beach, where another six days of teaching awaited.

In my next email, I’ll tell you how the five workshop days turned into six — and what made Deerfield Beach so special.

But before then, I’d love to know…

Are you an introvert too? How do you manage when your social tokens run out?

Comment below — I’d genuinely love to hear from you.

02/11/2025

It’s been a while since I last posted in here. Life has been so busy lately. But I want you to know — I haven’t forgotten about you.

This year has flown by. And after a very rough start — one where I almost closed The Aftercare Academy — I can finally say I’m proud of how far things have come.

There have been times throughout my life when I’ve hit rock bottom. Properly burned out. And if you’ve been there too, you’ll know it’s not pretty.

But something inside me keeps pushing forward. Partly out of necessity — I’m a single, self-employed woman who still has to pay the bills — and partly because, well… I’m a fighter.

I’m not going to let the b***ards get me down (hope you don’t mind the language 😅).

But more than anything, it’s my mission that keeps me going. My dream is to make postoperative care safer for people having plastic surgery.

And to do that, I need to share that mission with others who care just as deeply about safe, effective care for postoperative patients.

So instead of packing up my business and signing on the dole, I gathered myself together, took a deep breath, and got back in front of students who chose to learn from me — to learn from my 20 years of proper, hands-on experience.

My knowledge is the result of excellent training, of working alongside some of the UK’s leading experts, and of 20 years of challenging, messy, real-life, hands-on experience. Experience in the treatment room, not on webinars or conferences. But learning through treating numerous different and often complex patients

I’ve learned from mistakes, grown stronger each year, and discovered that you can’t beat learning the hard way — because it’s also the best way.

In June, I officially launched the 5-day Manual Lymphatic Therapy Workshop in the UK — an entry-level training designed to bridge the gap between the low-standard online “lymphatic massage” courses and the formal MLD certifications offered by schools like Vodder, Klose, Norton, and ACOLS.

It’s a stepping stone that now allows more therapists to progress safely to the Advanced MLD and Treatment Protocols for Aesthetic Plastic Surgery Clients workshop.

And in September, I taught that signature Advanced workshop at Wood MediSpa in Devon to an incredible group of therapists from across the UK and Europe.

They gave me the confidence to know that what I’m teaching truly makes a difference. And in return, I hope I gave them the confidence to know they’re safely treating vulnerable post-op patients.

In my next post, I’ll share how my professional journey took me across the Atlantic — and what happened when The Aftercare Academy landed in the USA.

If you've experienced challenges in life or work, please feel free to share. I'm always happy to hear from you.

No rush. No force. Just informed, intentional care that meets the body where it is — and guides it forward.Your best out...
30/09/2025

No rush. No force. Just informed, intentional care that meets the body where it is — and guides it forward.

Your best outcomes aren’t found in just treatment — they’re found in your intention.

In postop therapy, strength isn’t just in your treatment — it’s in your knowledge. Knowing when to refer out, pause a se...
28/09/2025

In postop therapy, strength isn’t just in your treatment — it’s in your knowledge.
Knowing when to refer out, pause a session, or seek medical input isn’t a failure — it’s professionalism at its best. 🤝

Knowing when to make the call is key.

Great Post-op therapy isn’t just about the hands — it’s about how we communicate and document every step to provide the ...
27/09/2025

Great Post-op therapy isn’t just about the hands — it’s about how we communicate and document every step to provide the safest, most effective care. 👐

Swipe through to learn the best practices that help therapists build trust and tailor treatments

Remember: your voice matters. Speak up, and know your therapist is listening.

I've just reached 1K followers! Thank you for continuing support. I could never have made it without each and every one ...
25/09/2025

I've just reached 1K followers! Thank you for continuing support. I could never have made it without each and every one of you. 🙏🤗🎉

Postop Compression not cause harm.If you experience any of these signs during or after compression, it’s time to pause a...
24/09/2025

Postop Compression not cause harm.

If you experience any of these signs during or after compression, it’s time to pause and communicate with your therapist.

Your safety and comfort come first — always listen to your body and speak up!

Compression pressure can make or break the healing experience! ⚖️ Poor compression might leave your patient sore or unco...
23/09/2025

Compression pressure can make or break the healing experience! ⚖️

Poor compression might leave your patient sore or uncomfortable, while good compression targets tissues just right to support healing. Always trust a therapist who knows about compression and the laws of pressure!

MLD helps reduce swelling — but staying hydrated helps nourish your tissues. Drink plenty of water after your session to...
22/09/2025

MLD helps reduce swelling — but staying hydrated helps nourish your tissues.

Drink plenty of water after your session to support the process and avoid feeling dehydrated after treatment.

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About me

I am a fully qualified lymphoedema therapist. I treat lymphoedema, lipoedema and postoperative swelling - please check out my website: www.medical-therapies.co.uk However, I also do ‘Lymphatic Massage’ and Myfascial Release for general health and well-being and for those experiencing tight muscles and generalised pain and discomfort.

Myofascial Release and Lymphatic Massage is more than just a ‘spa’ type treatment as my training and knowledge of the anatomy, physiology and pathophysiology of the lymphatic and myofascial systems is more in depth than that taught at massage schools. You can find out more about these therapies at www.maidenheadmassagetherapy.co.uk I have been lucky enough to have trained with some of the worlds leading authorities in their field: 2003 - I qualified in Sports Massage with a Distinction. 2004 - I studied the John Barnes method of Myofascial Release. 2005 - Completed training in Advanced Deep Tissue techniques with James Earls 2005 - I studied Tom Myers 'Anatomy Trains' with James Earls 2006 - Studied Scar Tissue Release with Susan Cochrane, Michigan, USA 2006 - Completed Parts 1 and 2 of Bruno Chikly's Lymph Drainage Therapy in Toronto, Canada and Detroit, Michigan 2008 - Completed my full certification in MLD(manual lymphatic drainage) and CDT (complete decongestive therapy) through Klose Training and Consulting, in association with Foldi Clinic. The Foldi Clinic is one of the worlds leading specialist clinics in the treatment of lymphological issues. 2011, 2013, 2015 and 2018 - Advanced review updates in MLD/CDT at the Foldi Clinic, Hinterzarten, Germany I have worked with athletes of all genres: Footballers, Runners, Ice hockey players and the 'weekend warrior'. And, those who just want to chill out and relax. Since 2012, I have worked mostly with lymphoedema patients - 90% of which have Cancer. My knowledge in the field of lymphology is extensive. As well as working with lymphoedema patients, in 2012, I joined a leading private plastic surgery in Wimpole Street, London were I integrated Manual Lymphatic Drainage into patients postoperative care packages to reduce postoperative swelling more quickly. I have a vast experience of treating all manners of scarring enhancing my skills and knowledge in this field. In 2015, I obtained an NHS contract to provide a high quality, effective service to secondary lymphoedema patients - predominately those who had had breast cancer. I have two businesses - Medical Therapies which is for people with lymphoedema - this website is: www.medical-therapies.co.uk

My other business is Medical Massage Therapies which is for general health and well-being. That website is: www.maidenheadmassagetherapy.co.uk